CHARLES H GOODMAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

CHARLES H

Last Name

GOODMAN

Business Name

CHARLES H GOODMAN

Original Issue Date

10/24/1983

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024